To speak of fleeing presupposes an active choice: the subject driven by a survival instinct to make strategic use of its defence mechanisms. But what of the case where flight is une carte forcée driven by real danger forcing the subject faced with death to choose life? An already fragile refugee, the author argues, then faces a poor reception by Western society upon arrival. The pressure uncertain legal status can shatter the identity of a refugee waiting to receive permanent recognition. The external threat which forced the subject to flee his/her own country can be magnified by the threats to which he is exposed on arrival. On a phenomenological level, the effect of the fragmentation of the immigrant’s identity is similar clinically in symptoms to a trauma patient. A clinical illustration of a psychotherapy with a Chechen patient supports this hypothesis. In this context psychotherapy concerns making connections between inside and outside, between the inner and outer world, between one’s own country and Western society. The objective is to safeguard the existence of the subject: in reality as well as in a fantasmatic construction.